ANITA R IMWALLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286988

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

Last Name

IMWALLE

Business Name

ANITA R IMWALLE

Original Issue Date

02/04/1999

Effective Date

02/04/1999

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005